Continuous Quality Improvement Coordinator

The Continuous Quality Improvement Coordinator reports to the Assistant Director of Quality Improvement and is responsible for overseeing quality assurance activities, documentation compliance, and coding accuracy across psychiatric outpatient and inpatient environments. The role requires knowledge of third‑party billing procedures, E&M coding (1995 guidelines, CPT, ICD‑10‑CM, HCPCS), and a trauma‑informed approach to supporting individuals with behavioral health issues.

Qualifications

• Knowledge of third‑party billing procedures and documentation requirements across various payer systems for psychiatric outpatient and inpatient settings.
• Familiarity with E&M coding review using 1995 E&M Guidelines, CPT, ICD‑10‑CM, and HCPCS coding.
• Understanding of trauma‑informed care and ability to create a sensitive, responsive work environment.
• Experience supervising Quality Assurance Specialists and staff in Release of Information, Archived Records, Hospital Admissions Entry, Cimor Data Entry, and Coding.
• Active participation as a member of the Compliance Committee and serving as Records Custodian for the Center.

Responsibilities

• Manage day‑to‑day operations of the Quality Assurance (QA) Department.
• Supervise QA Specialists and monitor QA audit reports.
• Oversee monitoring, auditing, and correction of medical record documentation and coding completed by QA staff.
• Communicate results of QA documentation auditing to Clinical Staff, Administrative Team, and the Compliance Committee.
• Provide consultation, training, and education to clinical, administrative, and support staff on documentation requirements, policies, procedures, compliance, release of information, coding, and data entry.
• Compile compliance audit reports for submission to the Compliance Committee.
• Apprise the Director of Risk and Quality Improvement of trends in documentation or compliance issues identified through QA auditing.
• Coordinate and participate in internal and external audits.
• Supervise staff in Release of Information, Archived Records, Hospital Admissions Entry, Cimor Data Entry, and Coding.
• Serve as Records Custodian for the Center.
• Perform all other duties as assigned.

Preferred Qualifications

• High School diploma or equivalent (required).
• Minimum of one (1) year experience in a clinical/medical office setting.
• RHIA, RHIT, CCS, or CPC certification (preferred).

Education

High school diploma or equivalent.

Physical Requirements

• Normal office environment with prolonged sitting, frequent standing, bending, stooping, and occasional lifting up to 10 pounds.
• Normal range of hearing and manual dexterity sufficient to operate keyboard, telephone, photocopier, calculator, and other office equipment.
• Ability to work under stressful conditions and irregular hours.
• TB test required upon hire.